Table of Contents
Overview
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- What you need to know
- Definition
Executive Summary
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- The issues
- Uncertainty about the ACA
- Fewer than half are satisfied with their plan
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- Figure 1: Satisfaction with coverage, by generation, July 2017
- Most don’t know what their plan covers
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- Figure 2: Knowledge of plan, by generation, July 2017
- Few research their options
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- Figure 3: Health plan behaviors, by type of insurance owned, July 2017
- The opportunities
- Women want incentives to stay healthy
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- Figure 4: Attitudes toward health insurance, by gender, July 2017
- Range of benefits and cost are major concerns
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- Figure 5: Most important features of health care plan, July 2017
- What it means
The Market – What You Need to Know
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- Fewer are uninsured
- Private insurance and Medicaid enrollments are increasing
- The US is aging
- Unemployment continues to fall
- The uncertainty about the ACA
Market Size
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- Percentage of uninsured continues to fall
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- Figure 6: Percentage of US uninsured, 2005-15
Market Breakdown
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- Private insurance and Medicaid enrollments are increasing
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- Figure 7: Type of health insurance owned, 2013-15
Market Factors
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- The US is aging
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- Figure 8: Percent of US population aged 18+, by age, 2012-22
- Unemployment continues to fall
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- Figure 9: US unemployment rate, August 2012-August 2017
- The uncertainty about the ACA
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- Figure 10: ACA enrollment, 2014-17
- Figure 11: ACA enrollment, by age, 2016-17
Key Players – What You Need to Know
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- Telehealth is growing
- Mobile apps are not being used
- Incentives are not working
- HSAs are a growing part of retirement planning
What’s Working?
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- Telehealth is growing
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- Figure 12: Anthem LiveHealth email, 2016
What’s Struggling?
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- ACA Exchanges
- Mobile apps are not being used
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- Figure 13: Health plan behaviors, by Hispanic origin, July 2017
- Incentives are not working
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- Figure 14: Existence and use of incentives, by generation, July 2017
What’s Next?
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- HSAs are a growing part of retirement planning
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- Figure 15: Optum HSA email, 2017
- Wearables and health insurance
The Consumer – What You Need to Know
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- Young consumers more likely to own individual insurance
- Hispanics less likely to have major types of insurance
- Benefits and premiums are equally important
- Women are more influenced by incentives
- Most feel their health plan can do more
- Medical costs are a challenge
- Opportunities for technology-based start-ups
- Health care costs in retirement a major concern for 55+
Health Insurance Owned
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- Young consumers more likely to own individual insurance
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- Figure 16: Type of insurance owned, by generation, July 2017
- Hispanics more likely than non-Hispanics to buy individual insurance
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- Figure 17: Type of insurance owned, by Hispanic origin, July 2017
- Men more likely than women to buy individual insurance online
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- Figure 18: How insurance was purchased, by gender, July 2017
Type of Coverage
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- Hispanics less likely to have major types of insurance
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- Figure 19: Type of insurance owned, by Hispanic origin, July 2016
- Urban dwellers least likely to have coverage
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- Figure 20: Type of insurance owned, by location, July 2016
Important Factors in Purchase
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- Benefits and premiums are equally important
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- Figure 21: Important factors in purchase, July 2017
- Importance of premiums increases with age
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- Figure 22: Important factors in purchase, by generation, July 2017
Incentives
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- Women are more influenced by incentives
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- Figure 23: Incentives, by gender, July 2017
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- Figure 24: AARP At Your Best email, 2016
- Figure 25: Kaiser Permanents Wellbeing Dollars email, 2016
- Income affects incentive preferences
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- Figure 26: Incentives, by household income, July 2017
Health Plan Behaviors
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- Most feel their health plan can do more
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- Figure 27: Health plan behaviors, by generation, July 2017
- Medical costs are a challenge
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- Figure 28: Health plan behaviors, by race and Hispanic origin, July 2017
Attitudes toward Health Insurance
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- Opportunities for technology-based start-ups
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- Figure 29: Attitudes toward health insurance, parental status, July 2017
- Health care costs in retirement a major concern for 55+
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- Figure 30: Attitudes toward health insurance, by gender and age, July 2017
CHAID Analysis
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- Wealthy pre-retirees most concerned about healthcare costs in retirement
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- Figure 31: Attitudes toward health insurance – CHAID – Tree output, June 2017
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- Figure 32: Attitudes toward health insurance – CHAID – Table output, June 2017
- Methodology
Turf Analysis – Which Incentives Help Most?
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- Cash incentives likely to be most influential
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- Figure 33: TURF analysis – Incentives, June 2017
Appendix – Data Sources and Abbreviations
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- Data sources
- Consumer survey data
- Direct marketing creative
- Abbreviations and terms
- Abbreviations
Appendix – The Consumer
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- Figure 34: Type of health insurance owned, by generation
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- Figure 35: Type of health insurance owned, by generation
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- Figure 36: Type of health insurance owned, by household income
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- Figure 37: Type of health insurance owned, by Hispanic origin
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- Figure 38: Health account ownership, by generation
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